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1730589193
ANTIBA GRAHAM
LANCASTER, CA
NPI
1730589193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 106710)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2014-09-03
Last Update Date
2022-08-01
Business Address
Mr. ANTIBA GRAHAM
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-726-2850
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Mailing Address
Mr. ANTIBA GRAHAM
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-726-2850
Copy
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